Divine Direction Online

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DIVINE DIRECTION ONLINE

Practice address

3817 White Heron Dr
Orlando, FL 32808-2605

Phone

(407) 448-3665

NPI assigned

Jun 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donovan D. DavisNPI 1720376817

Title

President

Phone

(407) 448-3665

Specialties & licenses 2

Addresses

Other names 1

• DDO Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donovan Dennis Davis

  • Social Worker
  • Orlando, FL
  • NPI 1720376817
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1730704933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 WHITE HERON DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328082605",
            "telephone_number": "407-655-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 WHITE HERON DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328082605",
            "telephone_number": "407-448-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DIRECTION ONLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-448-3665"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDO",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DDO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diversified Behavioral Health Services Inc.
• Janine Marie Divincenzo-Smith, FNP-C
• Divine Center of Hope of Orlando Inc
• Divine Consulting Services
• Divine Deliverance Therapy Services, LLC
• Divine Doula
• Divine Hope Home Care LLC
• Divine Individuals Counseling Services, Inc.
• Divine Phlebotomy Training
• Divinely Purposed Care LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.